Clinical Practice and Cases in Emergency Medicine (Jan 2017)

Indicators of Subarachnoid Hemorrhage as a Cause of Sudden Cardiac Arrest

  • Joseph Zachariah,
  • Jessica A. Stanich,
  • Sherri A. Braksick,
  • Eelco FM. Wijdicks,
  • Ronna L. Campbell,
  • Malcolm R. Bell,
  • Roger White

DOI
https://doi.org/10.5811/cpcem.2017.1.33061
Journal volume & issue
Vol. 1, no. 2

Abstract

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Subarachnoid hemorrhage (SAH) may present with cardiac arrest (SAH-CA). We report a case of SAH-CA to assist providers in distinguishing SAH as an etiology of cardiac arrest despite electrocardiogram findings that may be suggestive of a cardiac etiology. SAH-CA is associated with high rates of return of spontaneous circulation, but overall poor outcome. An initially non-shockable cardiac rhythm and the absence of brain stem reflexes are important clues in indentifying SAH-CA.